Agitation Episode 5: The boarded ED patient

What this episode covers

<br /> We are in the midst of a staggering mental health crisis. Thousands of children and adolescents spend days at time in Emergency Departments waiting for definitive mental health disposition. This podcast episode hosted by Brad Sobolewski (<a rel="noreferrer noopener" href="http://www.twitter.com/pemtweets" target="_blank">@PEMTweets</a>) and co-authored by Dennis Ren (<a rel="noreferrer noopener" href="http://twitter.com/dennisrenmd" target="_blank">@DennisRenMD</a>) is all about what we should consider when boarding children in the ED for mental health reasons. It is also the final episode in a 5 episode series focused on agitation in children and adolescents.<br /> <br /> <br /> <br /> After listening to this episode you will be able to:<br /> <br /> <br /> <br /> <br /> * Identify some of the reasons why we are boarding so many children in the ED and which children are the highest priority<br /> <br /> <br /> <br /> * Describe the challenges these patients face as they await inpatient psychiatric care<br /> <br /> <br /> <br /> * Describe best practices and what we should be doing for them <br /> <br /> <br /> <br /> * Discuss some of the stresses that these children place on the healthcare system, and possible alternative strategies.<br /> <br /> <br /> <br /> <br /> This episode is a co-production of the Emergency Medical Services for Children Innovation and Improvement Center whose mission is to minimize morbidity and mortality of acutely ill and injured children across the emergency continuum.<br /> <br /> <br /> <br /> EMDocs Collaboration<br /> <br /> <br /> <br /> <a href="http://www.emdocs.net" target="_blank" rel="noreferrer noopener">EMDocs.net</a> &#8211; the excellent Emergency Medicine site will also be contributing a supplementary article for each episode that will be posted each Friday following the release of the podcast episode. These articles will take another look at the content included in this episode.<br /> <br /> <br /> <br /> Special thanks to Manpreet Singh, MD (<a href="https://twitter.com/mprizzleer">@MprizzleER</a>) for helping to put this collaboration together. <br /> <br /> <br /> <br /> Other Episodes in the Agitation Series<br /> <br /> <br /> <br /> <a rel="noreferrer noopener" href="https://www.pemcincinnati.com/podcasts/?p=1133" target="_blank">Episode 1: Differentiating organic versus psychiatric causes of agitation and altered mental status</a> | <a rel="noreferrer noopener" href="http://www.emdocs.net/pem-currents-agitation-in-children-episode-1-differentiating-organic-vs-psychiatric/" target="_blank">Supplementary EMDocs article</a><br /> <br /> <br /> <br /> <a rel="noreferrer noopener" href="http://pemcincinnati.com/podcasts/?p=1140" target="_blank">Episode 2: Non-pharmacologic management of agitated children</a> | Supplementary EMDocs article<br /> <br /> <br /> <br /> <a href="http://pemcincinnati.com/podcasts/?p=1146" data-type="URL" data-id="pemcincinnati.com/podcasts/?p=1146" target="_blank" rel="noreferrer noopener">Episode 3: Pharmacologic management of agitated children</a> | Supplementary EMDocs article<br /> <br /> <br /> <br /> Episode 4: Safe prehospital transport of the agitated patient | Supplementary EMDocs.net article<br /> <br /> <br /> <br /> EMSC I